Knee joint replacement
Alternate Names : Total knee replacement, Knee arthroplasty, Knee replacement - total, Tricompartmental knee replacement
After the Procedure
You will stay in the hospital for 3 to 5 days, But full recovery will take from 2 to 3 months to a year. After surgery: - You will have a large dressing (bandage) over your knee. A small drainage tube will be placed during surgery to help drain fluids that build up in your knee joint after surgery. It will be removed when you no longer need it.
- You will have an IV (a catheter, or tube, that is inserted into a vein, usually in your arm).
- You may have a Foley catheter inserted into your bladder to drain urine. Usually it is removed 2 or 3 days after surgery.
- You will wear special compression stockings on your legs. These stockings improve blood flow and reduce your risk of getting blood clots.
- Most people will also receive blood-thinning medicine to reduce the risk of blood clots more.
- You may be taught how to use a device called a spirometer and do deep breathing and coughing exercises. Doing these exercises will help prevent pneumonia.
- Your doctor will prescribe pain medicines to control your pain. Your doctor may also prescribe antibiotics to prevent infection.
You will be encouraged to start moving and walking as soon as the first day after surgery. - You will be helped out of bed to a chair on the first day after surgery. When you are in bed, bend and straighten your ankles often to prevent blood clots.
- You will be encouraged to do as much you can for yourself as possible by the second day. This includes going to the bathroom or taking walks in the hallways, always with someone helping you.
- Some surgeons recommend using a continuous passive motion machine (CPM) while you are in bed. The CPM bends your knee for you. Over time, the rate and amount of bending will increase. If you are using one, always keep your leg in the CPM when you are in bed. It will help speed your recovery and reduce pain, bleeding, and risk of infection.
Some people need a short stay in a rehabilitation center after they leave the hospital and before they go home. At a rehab center, you will learn how to safely do your daily activities on your own.
Prognosis
The results of a total knee replacement are often excellent. The operation relieves pain for most people, and most people do not need help walking after they fully recover. Most artificial knee joints last 10 to 15 years. Some last as long as 20 years before they loosen and need to be replaced again.
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